• Title/Summary/Keyword: 약물용량계산

Search Result 14, Processing Time 0.039 seconds

Convergence Study on the Drug Dose Calculations and Confidence of Nursing Students (간호 학생의 약물 용량 계산과 자신감에 관한 융합적 연구)

  • Jung, In-Sook
    • Journal of Convergence for Information Technology
    • /
    • v.7 no.4
    • /
    • pp.45-51
    • /
    • 2017
  • The purpose of this study is to find the level of drug dose calculations and confidence of nursing students who completed fundamental nursing. After receiving informed consent, questionnaires and drug dose calculation paper of 152 subjects were collected. The data were analyzed using SPSS 19.0. The $mean{\pm}SD$ of drug dose calculations was $7.46{\pm}1.97$ on a scale of 10, the mean score of male students was higher than female's(t=3.64, p=.001), and the mean score of science was higher than vocational's according to high school departments(F=5.11, p=.007). In the score of confidence, the $mean{\pm}SD$ was $4.12{\pm}1.12$ on a scale of 6, the mean score of male students was higher than female's(t=8.94, p=.001), and the science was higher than humanity or vocational(F=6.28, p=.002). There was a positive correlation between drug dose calculation and confidence scores(r= .32, p=.001), and explanation rate of confidence on drug dose calculation was 10.2%(p=0.001) in regression analysis. This suggests that nursing students need to improve drug dose calculation ability by strengthening confidence.

Convergence Study on Ability and Accuracy in Drug Dose Calculations of Nursing Students (간호학생의 약물용량계산능력과 정확도에 관한 융합적 연구)

  • Jung, In-Sook
    • Journal of the Korea Convergence Society
    • /
    • v.8 no.3
    • /
    • pp.123-131
    • /
    • 2017
  • This study is to find the weaknesses in drug dose calculations of nursing students by analyzing their general characteristics, confidence(C), performances in classes(PC) and exam sheets of drug dose calculations. The data were analyzed using SPSS 19.0. There was no significant difference between male and female students in simple calculation ability(SCA), but male students' mean scores were higher in applied calculation ability(ACA) and accuracy on calculation(AC). There were no significant differences in calculation abilities according to high school departments. And students were weak in questions which are needed ACA. The explanation rate of C on PC and PC on AC were 4.2% and 3.2% respectively, so there were weak positive effects from C to PC, and PC to AC. This study suggests that there is a need to develop and implement an intervention program according to students' abilities to increase AC, C, and PC by studying math on an ongoing basis. This study needs to be cautious in generalizing, because the data set was limited to nursing students from one university.

Development of a Drug Dosage Calculation Learning Smartphone Application (약물용량계산 학습 스마트폰 어플리케이션 개발)

  • Kim, Myoung-Soo;Park, Jung-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.5
    • /
    • pp.2251-2261
    • /
    • 2013
  • The objective of this study was to develop and evaluate learning smartphone application for improving drug dosage calculation ability of nursing students. We evaluated the contents based on the sufficient teaching materials and developed the process for implementation of the educational system. The participants were 37 nursing students. After implementation during 4 weeks, data was analyzed with the SPSS WIN 18.0. There were significant differences of achievement of learning objectives(${\chi}^2$=10.90, p=.004), application to work(Z=2.86, p=.004), mathematical confidence (Z=3.07, p=.002), according to the frequency of program use, but there was no difference in academic self-efficacy. Based on the results of this study, developed smartphone application will help to strengthen the drug dosage calculation ability of nursing students. And also, the results suggest that more powerful application for improving academic efficacy and increasing participation should be developed.

Factors affecting on Perceived Medication Administration Competence in Senior Nursing Students (졸업 예정 간호대학생의 주관적 투약수행역량 영향요인)

  • Kim, Jeong-Hee;Kang, Kyung-Ja
    • Journal of Digital Convergence
    • /
    • v.17 no.7
    • /
    • pp.215-224
    • /
    • 2019
  • The objective of study was to identify perceived medication administration Competence of senior nursing students. A total of 128 students were recruited. The instruments for this study were self-efficacy for drug dosage calculation, anxiety for drug dosage calculation and perceived medication administration competence. The data were collected from November 2018 to January 2019, analyzed by descriptive analysis, chi-square, t-test, Scheffe test, correlation coefficients, and multiple regression using the SPSS 25.0 program. The main predictors of perceived medication administration competence were identified as confidence in drug dosage calculation (${\beta}=.463$, p<.001), Attitude of participation at clinical practice (${\beta}=.168$, p=.040). These two factors explained about 29% of variance in perceived medication administration competence (F=26.93, p<.001). It can contribute to improve their ability to administrate medication in practice, with the accuracy of prescription, recalculation of prescribed drug dose, and observation of adverse reactions in clinical practice and simulation with collaborative approach.

Adequate anesthetic induction dose in a morbidly obese patient based on bioelectrical impedance analysis. -Case report- (병적 비만 환자에서 생체 전기 임피던스 분석을 이용한 적절한 마취 유도 용량 -증례보고-)

  • Lee, Ki-Jae;Choi, Seungseo;Baek, Seon Ju;Kim, Dong-Chan;Lee, Jeongwoo;Lee, Jun Ho
    • Journal of the Korea Convergence Society
    • /
    • v.11 no.10
    • /
    • pp.349-353
    • /
    • 2020
  • Background: The dosage of the anesthetic drugs is generally determined by the total body weight of the patients. However, the drugs can be overdosed when the patient is morbidly obese. We have determined anesthetic induction dose based on lean body mass estimated from bioelectrical impedance analysis (BIA). Case: We report a case of morbidly obese patient (161 cm, 138 kg and body mass index 53.1) who had an elective laparoscopic cholecystectomy. The dose of induction agent was determined by lean body mass estimated by BIA, and the sedation was assessed by the observer's assessment alertness/sedation scale. Conclusions: Dose determination through lean body mass measured by BIA is useful in highly obese patients.

Predictors of Drug Dosage Calculation Error Risk in Newly Graduated Nurses (신규 졸업 간호사의 약물계산오류의 위험에 영향을 미치는 요인)

  • Kim, Myoung Soo;Kim, Jung Soon;Ha, Won Choon
    • Journal of Korean Biological Nursing Science
    • /
    • v.16 no.2
    • /
    • pp.113-122
    • /
    • 2014
  • Purpose: This study was to identify predictors of drug dosage calculation error risk in newly graduated nurses. Methods: A total of 115 newly graduated nurses who passed their employment examination, but didn't work for hospital yet, were recruited from a university hospital. The data were analyzed by descriptive statistics, $X^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression using the SPSS 18.0 program. Results: The mean score of 'drug dosage calculation ability' was $0.81{\pm}0.16$ and the mean score of 'certainty of calculation' was $2.95{\pm}0.60$ out of a 5 point scale. The error risk of drug dosage calculation was positively related to anxiety for drug dosage calculations (r=.388, p<.001), but negatively related to interest and confidence in mathematics (r=-.468, p<.001), confidence related to dosage calculations (r=-.426, p<.001). The main predictors of error risk related drug calculations in newly graduated nurses were identified as interest and confidence in mathematics (${\beta}$=-.468, p<.001). This factor explained about 21.9% of the variance in error risk of drug dosage calculation. Conclusion: The strategies used to decrease the error risk related drug dosage calculation such as improving interest and confidence in mathematics should be developed and implemented.

Predictors of Drug Calculation Competence of Nursing Students (간호 대학생의 약물계산역량에 영향을 미치는 요인)

  • Kim, Myung Hee;Park, Jung Ha;Kim, Myoung Soo
    • Journal of Korean Biological Nursing Science
    • /
    • v.14 no.3
    • /
    • pp.174-182
    • /
    • 2012
  • Purpose: The objective of this study was to identify predictors of drug calculation competence of nursing students. Methods: A total of 120 students were recruited from 3 universities from November 10 to 20, 2011. The instruments for this study were drug calculation competence, self-efficacy for drug dosage calculation, anxiety for drug dosage calculation, and the academic self-efficacy scale. The data were analyzed by descriptive analysis, chi-square test, t-test, Scheffe test, partial correlation coefficients, and stepwise multiple regression using the SPSS 18.0 program. Results: The mean score of good competence group was $0.67{\pm}0.08$ and the mean score of no-good competence group was $0.42{\pm}0.10$. The drug calculation competence was positively related to self-efficacy for drug dosage calculation and academic self-efficacy scale, but negatively related to anxiety for drug dosage calculation after controlling personal attributes. The main predictors of drug calculation competence in nursing students were identified as anxiety for drug dosage calculation (${\beta}$=-.25, p=.046), academic self-efficacy (${\beta}$=.19, p=.035). These two factors explained about 10% of variance in drug calculation competence. Conclusion: Based on the results, the strategies reducing the anxiety for drug dosage calculation and improving the academic self-efficacy should be developed and implemented.

Development of a Smartphone Application for Clinical Decision Making of Medication Administration (투약적용의 임상적 의사결정을 위한 스마트폰 어플리케이션의 개발)

  • Kim, Myoung-Soo;Park, Jung-Ha;Kim, Sungmin
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.15 no.3
    • /
    • pp.1650-1662
    • /
    • 2014
  • This study aimed to develop smartphone application contents for the medication reconciliation of high-alert medications and to evaluate the satisfaction for this application. The xcode 4.5 and ios 6.1 SDK(software development kit) were used for constructing screen of the system. After implementation during 4 weeks, thirty five ICU(Intensive Care Unit) nurses were asked function related, contents related, and usage related satisfaction using 12 items. And differences of satisfaction according to the number of daily use and the frequency of use were evaluated. Data were analyzed using descriptive analysis, ANOVA with the SPSS 18.0. We developed the formula for drug dosage calculation, the alarming procedure, and the information of the high alert medication. In the satisfaction items, the mean score of 'This application is helpful to perform drug dosage calculation' was 3.14. However, 'I satisfy this application' was relatively low as 2.94. There were no differences in satisfaction according to the daily use and frequency of use. Based on the results of this study, more advanced smartphone application for medication reconciliation of high-alert medications will provide an important platform for patient safety.

Effect of Cimetidine on Pharmacokinetics of Theophylline in Healthy Korean Volunteers (건강한 한국인 자원자에서 theophylline 약동학에 미치는 Cimetidine의 효과)

  • Kwon, Jun-Tack;Chai, Seok;Sohn, Dong-Ryul;Yom, Yoon-Ki;Kim, Hyung-Ki
    • Korean Journal of Clinical Pharmacy
    • /
    • v.17 no.1
    • /
    • pp.13-18
    • /
    • 2007
  • The purpose of the present study was to investigate the effect of cimetidine on theophylline pharmacokinetics in Korean healthy normal subjects. Eight subjects were enrolled and open label, two period cross-over study was conducted without significant drug related adverse reactions. Cimetidine seemed that significantly inhibited the metabolism of theophylline, oral clearance decreased significantly when cimetidine was coadministered. Coadministered cimetidine increased $AUC_t$ and $C_{max}$ of theophylline. All subjects were genotyped using PCR-RFLP methods to evaluate the differences in metabolic capacity in accordance with CYP1A2 genotypes, but no mutant genotype was found. This suggests that metabolic capacities were not significantly affected by CYP1A2 genotypes among subjects. In conclusion, disposition of theophylline was significantly affected by coadministered cimetidine. Further evaluation with well-designed drug interaction study in accordance with various genotype of CYP1A2 is needed.

  • PDF

Pharmacokinetics of cefadroxil after oral administration in olive flounder, Paralichthys olivaceus (Cefadroxil의 경구투여에 따른 넙치(Paralichthys olivaceus)에서의 약물동태학 연구)

  • Lee, Ji-Hoon;Park, Kwan Ha
    • Journal of fish pathology
    • /
    • v.31 no.1
    • /
    • pp.23-34
    • /
    • 2018
  • The pharmacokinetic properties of cefadroxil (CDX) were studied after oral administration for 7 days to cultured olive flounders (average 660 g), Paralichthys olivaceus. For examination of pharmaco-kinetic profiles, CDX of 45 to 225 mg/kg body weight was administered at two different water temperatures, $13{\pm}3^{\circ}C$ or $22{\pm}3^{\circ}C$. CDX concentrations were determined in muscle, plasma, gastrointestinal tract, hematopoietic organs and liver by HPLC-MS/MS. Muscle samples were taken at 0.25, 0.5, 1, 3, 7, 14 and 28 days post dose, whereas plasma, gastrointestinal tract, hematopoietic organs and liver concentrations were measured at 1, 3, 7, 14 and 28 days post-dosing. The kinetic profiles of $C_{max}$, $T_{max}$, $T_{1/2}$ of CDX were analyzed by fitting to a non-compartmental model with PKSolver program. The following pharmacokinetic parameters were obtained with oral administration of 45 and 225 mg/kg at 13 and $22^{\circ}C$ in muscle, plasma, gastrointestinal tract, hematopoietic organs and liver, respectively: $C_{max}$ (maximum tissue concentration)=$985.98-5,032.86{\mu}g/kg$, $5,670.99-38,922.23{\mu}g/l$, $2,457.27-10,192.78{\mu}g/kg$, $886.04-3,070.87{\mu}g/kg$ and $1,188.15-3,814.33{\mu}g/kg$; $T_{max}$ (time for maximum concentration)= every 1 day; $MRT_{0-{\infty}}$ (mean residence time)= 1.51-4.74, 2.12-3.06, 4.25-13.18, 1.37-18.66 and 1.78-29.76 days; $T_{1/2}$ (half-life)= 1.08-3.47, 1.14-5.42, 3.56-10.99, 1.17-14.93 and 1.25-28.55 days.